Contracts Specialist

This role is responsible for handling pre-claim and OON physician contract negotiations, working independently to secure the lowest settlement rates for clients.

Location: United States

Responsibilities

• Handles facility, provider, and client inquiries regarding pre-claims and OON physician contract requests
• Secures signed agreements for reimbursement with providers
• Researches claims to confirm history with the provider
• Determines cost-saving opportunities and pricing optimization strategies

Requirements

• Minimum high school diploma plus two years' experience in a medical healthcare claims role
• Background in healthcare claims management environment
• Demonstrated negotiation experience
• Proactive, self-starter
• High level of professionalism, organization, and flexibility
• Strong organizational skills, attention to detail
• Strong communication skills, oral and written
• Ability to manage high call volume
• Ability to multi-task effectively
• Detail focused
• Self-motivating personality and professional demeanor
• PC literate, including Microsoft Office products and web-based applications
• Required licensures, professional certifications, and/or Board certifications as applicable

Benefits

• Medical, dental, and vision coverage with low deductible & copay
• Life insurance
• Short and long-term disability
• Paid Parental Leave
• 401(k) + match
• Employee Stock Purchase Plan
• Generous Paid Time Off
• Tuition reimbursement
• Flexible Spending Account
• Employee Assistance Program
• Sick time benefits